A case of successful surgery for atrial septal defect combined with coronary artery bypass grafting Hiroshi Okamoto 1 , Kenzou Yasuura 1 , Hoshihito Moriya 1 , Akio Matsuura 1 , Yutaka Ogawa 1 , Akira Seki 1 , Shigeru Hirose 1 , Eiji Takeuchi 1 , Minoru Tanaka 1 , Toshio Abe 1 , Kazuyoshi Nagao 2 , Yoshihiro Futamura 2 1Department of Thoracic Surgery, Nagoya University, School of Medicine 2Division of Cardiology, Meitetsu Hospital pp.93-96
Published Date 1989/1/15
DOI https://doi.org/10.11477/mf.1404205410
  • Abstract
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A 66-year-old man, who had atrial septal defect (ASD) associated with severe coronary artery disease, underwent closure of ASD and concomitant coronary artery bypass grafting (LIMA-LAD & SVG-RCA). Response to surgery was excellent, with improve-ment of cardiac function and returning to NYHA functional class I, while, preoperatively, the patient had been limited due to symptoms related both to large left to right shunt flows (Qp/Qs 3. 04) and to left ventricular dysfunction because of severe myo-cardial ischemia as well as previous inferior myo-cardial infarction.

SAD is the most common form of congenital heart disease requiring surgery in adults, accordingly it should be remembered that some of the elderly pa-tients with ASD might have obvious or occult coronary artery disease at the time of diagnosis and operative intervention.

Copyright © 1989, Igaku-Shoin Ltd. All rights reserved.


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